Data as of Oct 28, 2026.
VO vs XLV: Differences, Returns & Fees
Over the year to Oct 28, 2026, VO returned +12.8% to XLV's +25.6%; 9% of their weight is in the same names.
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Net assets: $103.4bn on Sep 30, 2026 for Vanguard Morningstar Mid-Cap ETF, and $47.0bn on Oct 27, 2026 for State Street Health Care Select Sector SPDR ETF.
Pair scorecard
VO costs 0.05 points a year less; their one-year returns differ by 12.8 points; VO is 2.4 times larger.
| Measure | VO | XLV |
|---|---|---|
| Return | ||
| Total return, 1 year | +12.8% | +25.6% |
| Drawdown | ||
| Below its high | 3.1%, high on Aug 14, 2026 | |
| Benchmark | ||
| What it tracks | Morningstar US Mid Cap Index (formerly CRSP US Mid Cap Index) | Health Care Select Sector Index |
| Cost and size | ||
| Expense ratio | 0.03% | 0.08% |
| Net assets, as of Sep 30, 2026 | $103.4bn | $43.4bn |
| Holdings | ||
| Holdings in common | 9% | |
| Top ten holdings, share of the fund | 9.7% | 60.6% |
Holdings in common uses holdings dated Sep 30, 2026 and Oct 27, 2026. Method
What they share
By the books each fund has filed, VO and XLV hold 9% of their money in the same securities at the same weight. Holdings dated Sep 30, 2026 and Oct 27, 2026.
half
9% in common
Only in one fund ↓
Side by side
VO and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
VO
VO tracks an index of Mid-Cap. Over the year to Oct 28, 2026 it returned +12.8% with distributions reinvested. The prospectus expense ratio is 0.03% a year. By its holdings published by its issuer as of Sep 30, 2026, 91% of the fund by weight is stocks the S&P 500 also holds, across 273 positions, with the top ten at 9.7%. It sat 3.1% below its high of Aug 14, 2026 on Oct 28, 2026.
XLV
XLV tracks an index of Health care. Over the year to Oct 28, 2026 it returned +25.6% with distributions reinvested. The prospectus expense ratio is 0.08% a year. By its holdings published by its issuer for Oct 27, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 62 positions, with the top ten at 60.6%.
Questions people ask
- Which returned more over the last year, VO or XLV?
- In the year to Oct 28, 2026, with distributions reinvested, VO returned +12.8% and XLV +25.6%.
- Which is cheaper, VO or XLV?
- VO is cheaper, by 0.05 percentage points a year. That is about $5 on $10,000 held for a year. Fees come from each fund's prospectus.
Links are sources, not endorsements. A comparison is not a recommendation.
How this is computed
Overlap adds up the smaller of the two weights for each security both funds hold.
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ETFIQ, VO against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/vo-vs-xlv
ETFIQ. (Oct 28, 2026). VO against XLV. Retrieved from https://etfiq.com/compare/any/vo-vs-xlv
[VO against XLV (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/vo-vs-xlv)
Free to use with attribution for data ETFIQ computes; issuer data stays under its owner's terms.